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Vaginal Prolapse (cont.)

Vaginal Prolapse Prevention

Women at risk for vaginal prolapse (including those who have had corrective surgery) should, if possible, avoid heavy lifting or any activity that increases pressure within the abdominal cavity.

Obesity puts extra stress on the muscles and ligaments within the pelvis and vagina. Weight reduction can help prevent this condition from developing or recurring.

Vaginal Prolapse Prognosis

Vaginal prolapse is rarely a life-threatening condition. Some mild cases can be treated without surgery. More severe cases of vaginal prolapse will likely require surgery for correction. 

Vaginal prolapse surgery is generally susccessful, but recurrence remains an issue.

Vaginal Prolapse Pictures

Sites where a rectocele may occur.
Sites where a rectocele may occur. Click to view larger image.

The vagina and supportive structures. The paracolpium extends along the outside wall of vagina.
The vagina and supportive structures. The paracolpium extends along the outside wall of vagina. Click to view larger image.

Level I is suspension and level II is attachment. The paracolpium suspends the vagina from the lateral pelvic walls in level I. These fibers extend vertically and posteriorly toward the sacrum. The vagina in level II is attached to the arcus tendineus fascia of pelvis and superior fascia of levator ani
Level I is suspension and level II is attachment. The paracolpium suspends the vagina from the lateral pelvic walls in level I. These fibers extend vertically and posteriorly toward the sacrum. The vagina in level II is attached to the arcus tendineus fascia of pelvis and superior fascia of levator ani Click to view larger image.

Level II and III detail. In level III, the vagina is fused to the medial surface of the levator ani muscles, urethra, and perineal body. The anterior surface of the vagina at its attachment to the arcus tendineus fascia pelvis forms the pubocervical fascia, while the posterior surface forms the rectovaginal fascia.
Level II and III detail. In level III, the vagina is fused to the medial surface of the levator ani muscles, urethra, and perineal body. The anterior surface of the vagina at its attachment to the arcus tendineus fascia pelvis forms the pubocervical fascia, while the posterior surface forms the rectovaginal fascia. Click to view larger image.

Enterocele and massive vaginal eversion. Posthysterectomy vaginal vault prolapse.
Enterocele and massive vaginal eversion. Posthysterectomy vaginal vault prolapse. Click to view larger image.

Relaxed vaginal outlet. This elderly woman had a large rectocele and pronounced perineal body relaxation. The anterior repair and incontinence procedure had already been performed.
Relaxed vaginal outlet. This elderly woman had a large rectocele and pronounced perineal body relaxation. The anterior repair and incontinence procedure had already been performed.

Medically reviewed by Wayne Blocker, MD; Board Certified Obstetrics and Gynecology

REFERENCE:

MedscapeReference.com. Uterine prolapse in Emergency Medicine.


Medically Reviewed by a Doctor on 1/11/2016
Medical Author:

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Read What Your Physician is Reading on Medscape

Enterocele and Massive Vaginal Eversion »

Massive vaginal vault prolapse (uterovaginal prolapse) is a devastating condition with discomfort and genitourinary and defecatory abnormalities as the primary consequences.

Read More on Medscape Reference »


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